Question

A 58-year-old presents with fever, hypotension (MAP 58 mm Hg), lactate 3.5 mmol/L, and suspected pneumonia. Initial management should include which fluid strategy?

Accepted Answer

At least 30 mL/kg IV crystalloid within the first 3 hours

Answer

5 mL/kg crystalloid over 1 hour, reassess in 6 hours

Answer

Albumin 1 g/kg immediately

Answer

No fluids until vasopressors are started

Answer

Hypertonic saline 3% 250 mL bolus x 2

Practice question

A 58-year-old presents with fever, hypotension (MAP 58 mm Hg), lactate 3.5 mmol/L, and suspected pneumonia. Initial management should include which fluid strategy?